Dennis A Herzog in Marquette - Dermatology

Dennis A Herzog - NPI 1700836855

Dennis A Herzog is a Dermatology in Marquette, Michigan. Dennis A Herzog practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Dennis A Herzog is 1700836855. The last update date is 2008-05-20.

Dennis A Herzog's current location address is 1414 W Fair Ave, Marquette, Michigan. You can contact this provider via phone number 9062253970. The mailing address for Dennis A Herzog is 1414 W Fair Ave, Marquette, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Dennis A Herzog
Address 1414 W Fair Ave, Marquette, Michigan
Phone Number 9062253970
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1700836855
Provider Enumeration Date 2006-05-11
Last Updated Date 2008-05-20

Provider Mailing Address Detail

Address 1414 W Fair Ave
City Marquette
State Michigan (MI)
Post Code 498552675
Phone Number 9062253970
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 4301035261
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
705200122 MI BLUE CROSS BLUE SHIELD MI
101658376 MI --

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FAQs about Dennis A Herzog

What is the unique 10-digit identifier code issued to Dennis A Herzog by the Centers for Medicare & Medicaid Services?

The Dennis A Herzog has been assigned the NPI (National Provider Identifier) 1700836855 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Dennis A Herzog's facilities are situated?

The facilities of Dennis A Herzog are physically located at the following address: 1414 W Fair Ave, Marquette, MI, 498552675.

What is Dennis A Herzog's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dennis A Herzog is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.

On what date did Dennis A Herzog receive its 1700836855 assignment from the Centers for Medicare & Medicaid Services?

The Dennis A Herzog was assigned its 1700836855 on 2006-05-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Dennis A Herzog most recently updated or revised?

The information pertaining to Dennis A Herzog, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-20.

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